Serving locally, connecting the county
Safeguarding in Lincolnshire DistrictRevised September 2017
Responding Well - Safeguarding Form
CONFIDENTIAL
This form should be completed as a record of any concerns and the action taken to respond to them Name of person(s) about whom there are concerns
Form completed by
Role
Date/Time completed Useful contact details
Church
Minister
Church Safeguarding Officer
Circuit Epworth and Scunthorpe
Circuit Safeguarding Officer
Andrew Bamford 01427 728192 [email protected]
Date Comment/Action 1. Begin by outlining details of those who might need help and family members.
2. What are the facts of the concerns?
3. What action has been taken already?
4. Has anyone been contacted for advice or help and what did they say/do?
A copy of this form should be sent to your Circuit Safeguarding Officer. If you are a Circuit Safeguarding Officer please forward a copy to the DSO. It should be filed in a central place in a secure and lockable place. Howard Smedley, District Safeguarding Officer Mobile: 07758 239286 Email: [email protected]